Medicaid Program Integrity Director

State of Florida; Tallahassee (FL); On-site; USD 110,000 - 170,000; Full time

Benefits offered by this job

Health insurance

Retirement options

Paid annual leave

Holidays and personal holidays

Tuition waivers

Job summary

State of Florida is seeking a Chief of Medicaid Program Integrity for the Agency for Health Care Administration in Tallahassee. You will direct a comprehensive program to prevent, detect, and audit fraud, waste, and improper payments in Medicaid.

Responsibilities include strategic leadership across audits, investigations, data analytics, and compliance, with liaison duties to executive leadership and external partners. This is a mission-essential role with substantial leadership expectations.

Qualifications

• Four years of professional work experience with leadership responsibilities, including supervisory experience.
• Experience in prevention, detection, or investigation of fraud, abuse, or waste in health care.
• Graduate degree preferred in health law, health services administration, or related field.

Responsibilities

• Develop, implement, and direct a comprehensive Medicaid program integrity strategy.
• Provide strategic leadership for audits, investigations, data analytics, managed care oversight, and compliance.
• Lead long-term planning and address emerging vulnerabilities to maximize resource effectiveness.

Skills

Leadership

Program Integrity

Data analytics

Communication

Strategic planning

Travel

Education

Graduate degree preferred in health-relevant field

Tools

Word

Excel

Job description

State of Florida is seeking a Chief of Medicaid Program Integrity for the Agency for Health Care Administration in Tallahassee. You will direct a comprehensive program to prevent, detect, and audit fraud, waste, and improper payments in Medicaid.

Responsibilities include strategic leadership across audits, investigations, data analytics, and compliance, with liaison duties to executive leadership and external partners. This is a mission-essential role with substantial leadership expectations.